テレフレックス・ヴァスク・バンド・ヘモスタットとテルモ・ラジアル・バンド (TR) 圧縮装置のトランスラジアル・カーディアック・キャセテリゼーション後の比較:遡及的研究
Andrea Lacourciere1, Ray Brittany Gannon2
1Cardiac Catheterization Laboratory, NewYork-Presbyterian Westchester, Bronxville, NY.
まとめ
Vasc Bandは,TR Bandと比較して,診断用心臓キャセテリゼーション後の血液静止時間を有意に短縮しました. これらのトランスラジアルアクセス装置の間で血管合併症の違いは観察されなかった.
科学分野:
- 心臓病科
- 血管 外科
- 医療機器
背景:
- トランスラジアルアクセスは心臓キャセテリゼーションの好ましい方法です.
- 静止圧縮装置は,トランスラジアル手術後の結果の管理に不可欠です.
研究 の 目的:
- Vasc Band と TR Band の間の血静と早期の局所血管合併症までの時間を比較する.
- トランス放射性心経導管手術を受ける患者におけるVasc BandとTR Bandの有効性を評価する.
主な方法:
- 250人の成人患者を対象に,回顧的なコホート研究を行いました.
- 電子医療記録から収集されたデータで,Vasc BandとTR Bandの静止装置を比較した.
- 統計的分析には,血液静止までの時間と血管合併症のチ2のマン・ウィットニーUテストが含まれていた.
主要な成果:
- グループ間では,基値または手順の特徴に重大な差異は認められなかった.
- Vasc Bandは,診断用左心キャセテリゼーションにおいて,TR Band (Md=68. 5分) よりも血静状態までの時間が有意に短かった (P=0. 003).
- 血液静止や血管合併症 (出血,血腫,赤血症) までの時間における有意な差異は,皮膚経冠動脈介入を受けた患者では認められませんでした.
結論:
- この研究では初めて,Vasc BandとTR Bandによる心臓キャセテリゼーションの結果を比較しました.
- Vasc Bandは診断手順でより速い血静性を示し,両方のデバイスの安全性プロファイルは比較できます.
- Vasc Bandを他の放射性動脈圧縮装置と比較するために,さらなる研究が推奨されています.
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